DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161814

Early clinical exposure to first year medical students through case-based learning in endocrine physiology

Srabani Nitish Bhattacharya, Aniruddha Arjun Malgaonkar, Sundaram Kartikeyan

Abstract


Background:As per the Medical Council of India’s Vision-2015 document, coordinated inter-departmental efforts should be undertaken to provide early clinical exposure and to develop communication skills among medical students during the first year of Bachelor of Medicine, Bachelor of Surgery (MBBS) course. For this reason, this inter-departmental study was undertaken, to provide early clinical exposure while teaching endocrine physiology to first-year medical students. Case based learning (CBL) was used as an add-on to traditional didactic lectures (TDLs) for teaching endocrine physiology to first-year undergraduate medical students to compare the cognitive domain scores in pre CBL and post CBL tests.

Methods: After getting permissions from the Institutional Ethics Committee (IEC) and other institutional authorities for conducting the study, the objectives of the study were explained to first year MBBS students. Written informed consent was taken from students (n=59) who were willing to participate in the study. After delivering regular TDLs on endocrine physiology as per topics in the syllabus, a pre CBL test was conducted. Subsequently, the participating students were simultaneously exposed to case scenarios related to the endocrine system by the same facilitator. A post CBL test (identical to pre CBL test) was administered to compare the cognitive domain scores.

Results: Statistically significant differences were found in the student wise and question wise scores in the pre and post tests.

Conclusions: Early clinical exposure of a relatively larger batch of students to CBL by the same facilitator was found to increase cognitive domain scores.

 


Keywords


Endocrine physiology, Case based learning, Early clinical exposure

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References


Medical Council of India. Vision 2015. New Delhi: Medical Council of India. 2011-12. Available at: http://www.mciindia.org/tools/announcement/MCI_booklet.pdf. Accessed on 26 March 2016.

Kachur EK. Observation during early clinical exposure: an effective instruction tool or a bore. Med Educ. 2003;37:88-9. In: Vyas R, Sathishkumar S, eds. Recent trends in teaching and learning in physiology education: early clinical exposure and integration. Int J Basic Appl Physiol. 2012;1(1):175-81. Available at: http://oaji.net/articles/2014/1021-1405082126.pdf. Accessed on 13 April 2016.

McLean M. Sometimes we do get it right. Early clinical contact is a rewarding experience. Educ Health (Abingdon). 2004;17(1):42-52. In: Sawant SP, Rizvi S. Importance of early clinical exposure in learning anatomy. Sch J App Med Sci. 2015;3(2G):1035-8. Available at: http://saspublisher.com/wpcontent/uploads/2015/03/SJAMS-32G1034-1038.pdf. Accessed on 13 April 2016.

Walters MR. Problem-based learning within endocrine physiology lectures. Adv Physiol Educ. 2001;25(4):225-7. Available at: http://advan.physiology.org/content/25/4/225. Accessed on 26 March 2016.

Norman GR, Schmidt HG. Effectiveness of problem-based learning curricula: theory, practice and paper darts. Med Educ. 2000;34:729-38. Available at: http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2923.2000.00749.x/full. Accessed on 27 March 2016.

Vora MB, Shah CJ. Case based learning in pharmacology: moving from teaching to learning. Int J Appl Basic Med Res. 2015;5(Suppl 1):S21-S23. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552058/. Accessed on 27 March 2016.

Joshi KB, Nilawar AN, Thorat AP. Effect of case based learning in understanding clinical biochemistry. Int J Biomed Adv Res. 2014;5(10): 516-8. Available at: http://www.ssjournals.com/index.php/ijbar/article/viewFile/589/587. Accessed on 27 March 2016.

Majeed F. Effectiveness of case-based teaching of physiology for nursing students. J Taibah Univ Med Sci. 2014;9(4):289-92. Available at: www.sciencedirect.com/science/article/pii/S1658361214000584. Accessed on 27 March 2016.

Williams B. Case based learning: a review of the literature. Is there scope for this educational paradigm in pre-hospital education? Emerg Med J. 2005;22:577-81. Available at: http://emj.bmj.com/content/22/8/577.full. Accessed on 27 March 2016.

Dyke P, Jamrozik K, Plant AJ. A randomized trial of a problem based learning approach for teaching epidemiology. Acad Med. 2001;76:373-9.

Nanda B, Manjunatha S. Indian medical students’ perspectives on problem-based learning experiences in the undergraduate curriculum: one size does not fit all. J Educ Eval Health Prof. 2013;10:11. http://dx.doi.org/10.3352/jeehp/2013/10/11.

Kassebaum DK, Averbach RE, Fryer GE Jr. Student preference for a case-based vs. lecture instructional format. J Dent Educ. 1991;55(12):781-4.

Kartikeyan S, Malgaonkar AA. Retention of case-based learning on infectious diseases by third-year medical students. Int J Res Med Sci. 2016;4(1):272-7. Available at: http://www.scopemed.org/fulltextpdf.php?mno=208948. Accessed on 27 March 2016.

Kireeti AS, Reddy DS. Case based learning (CBL), a better option to traditional teaching for undergraduate students in curriculum of Paediatrics. Asian J Biomed Pharm Sci. 2015;5(45):39-41. Available at http://www.jbiopharm.com/index.php/ajbps/article/view/720/pdf. Accessed on 26 March 2016.

Gade S, Chari S. Case-based learning in endocrine physiology: an approach toward self-directed learning and the development of soft skills in medical students. Adv Physiol Educ. 2013;37(4):356-60. Available at: http://advan.physiology.org/content/37/4/356.long. Accessed on 26 March 2016.

Bledsoe KE. Managing problem-based learning in large lecture sections. Biosci Educ. 2011;18. Available at: http://www.tandfonline.com/doi/pdf/10.3108/beej.18.1. Accessed on 26 March 2016.

Sathishkumar S, Thomas N, Tharion E, Neelakantan N, Vyas R. Attitude of medical students towards early clinical exposure in learning endocrine physiology. BMC Med Educ. 2007;7:30. Available at: http://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-7-30. Accessed on 26 March 2016.

Barrows HSB, Tamblyn RM. Problem-based learning: an approach to medical education. New York: Springer Publishing Co; 1980. In: Bledsoe KE, eds. Managing problem-based learning in large lecture sections. Biosci Educ. 2011:18. Available at: http://www.tandfonline.com/doi/pdf/10.3108/beej.18.1. Accessed on 26 March 2016.

Michael J. In pursuit of meaningful learning. Adv Physiol Educ. 2001;25(3):145-58. Available at: http://advan.physiology.org/content/25/3/145. Accessed on 27 March 2016.